Organization
MCCALL FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA COUTANT SKINNER LCSW (EXECUTIVE DIRECTOR)
(860) 496-2100
Entity
Organization
Contact information
Practice address
58 HIGH ST, TORRINGTON, CT 06790-5106
(860) 496-2100
(860) 496-2111
Mailing address
58 HIGH ST, P.O. BOX 806, TORRINGTON, CT 06790-5106
(860) 496-2100
(860) 496-2111
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C-0245
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
MHDT-0025
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
SA-0031
CT
324500000X
Substance Abuse Rehabilitation Facility
SA-0127
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004159556
—
CT
Enumeration date
01/17/2007
Last updated
10/27/2016
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